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z SAN_,J0A0UIN Environmental Health Department <br /> " - COUNTY— <br /> �5��, j' Greatness grows here. <br /> (� MonitoringQWell/Soil Boring Inspection Report <br /> Date: l 2) Inspecto CONSTRUCTION <br /> Facility Address: Z'A 1, W <br /> Well Addre5,, 2Z� W, 1 t Total Depth: <br /> WP# 004 Cg Well#: �5 Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: � Min 2" Annular EHD Seal Verified: El Yes El No <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: WT height <br /> —CWT <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CO&FLErION COMPLETION <br /> Method: °roan°Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �ft. <br /> 711 <br /> it. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: stonad <br /> sarion <br /> Covered: ❑ Yes El No = gravel Pack <br /> If yes, material: <br /> o� s <br /> GROUTING or DESTRUCTION Total Depth:Depth to Water: rv_— tL tt' <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation 94ell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout Over Drill Type/Brand Bentonite: <br /> 1 Filter Pack Type/Size: <br /> e/Size: <br /> ❑ Gravity Wre ie ❑Other: Type of Method: <br /> Water Cemen 471b Water Cement 94lb <br /> gall s Bag allons Bags <br /> Thickest Thinnest IBags Thickest Thinnest BBags Bentonite/Cement Mix 3% Mix 5%Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> to zo 4 zo 40 4 W 6-� <br /> 12.5 25 5 25 so 5 l J <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 117V� /his xi d �— <br /> 20 40 8 40 80 8 ✓1 <br /> '� ✓ �� 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />